青少年在获取全科医生服务方面的观点和经验:系统性审查
Stephanie M Lawrence1, Mohamad M Saab1, Eileen Savage1
1Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
概括
青少年在向全科医生寻求医疗保健时,面临着信任和成本等障碍. 服务需要对年轻人友好,敏感和灵活,以改善青少年获得医疗保健的机会.
科学领域:
- 青少年健康 青少年健康
- 获得初级保健 获得初级保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 青少年经历各种健康问题,包括身体,精神和性健康问题.
- 青少年在健康问题上寻求帮助的行为尚未得到充分理解.
- 一般医生 (GPs) 往往是青少年医疗保健需求的初始联系人.
研究的目的:
- 系统地审查和综合关于青少年进入全科医生主导的初级保健的障碍和推动因素的证据.
- 确定影响青少年使用全科医生服务的因素.
- 总结青少年对初级保健可访问性的观点.
主要方法:
- 在 PsycINFO,MEDLINE,CINAHL 和 SocINDEX 数据库中进行系统的文献搜索.
- 评估所包含研究的质量.
- 综合了六项相关研究的发现.
主要成果:
- 关键障碍包括信任,保密,隐私和与全科医生的沟通等问题.
- 青少年还面临交通,成本和信息不足等实际障碍.
- 启用因素包括对需求敏感,理解的医疗保健专业人员和灵活的服务时间.
结论:
- 解决青少年障碍需要在初级保健中改善信任,保密和沟通.
- 开发敏感和灵活的青少年友好型服务对于青少年健康至关重要.
- 纳入青少年的反对于改善医生主导的初级保健的准入至关重要.
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